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Orthopedic Surgery
| Question | Answer |
|---|---|
| Which of the following is an acute, emergent condition of compression of neural and vascular structures, usually occurring in the upper and lower extremities following traumatic fractures? | Compartmental Syndrome |
| The term C-arm refers to a? | Fluoroscopic machine |
| Which of the following would be an increased on a serum analysis and indicative of a malignant neoplasm of bone marrow? | Bence Jones Protein |
| Which of the following diagnostic procedures does NOT use ionizing radiation? | MRI |
| Which orthopedic instrument has the appearance of a turkey foot or eagle's talon? | Lowman Bone Holder |
| Surgeons may call both Bennett and Hohmann retractors by which other name because of their shapes? | Cobra |
| Which device is sometimes used for achieving and maintaining the lateral position? | Beanbag |
| Which positioning device is frequently used for femoral nailing with leg traction and allows for placement of the C-arm? | Fracture Table |
| What is achieved by wrapping an extremity with an Esmarch bandage prior to inflation of pneumatic tourniquet? | Exsanguinations |
| Which of the following statements regarding generally safe continuous tourniquet inflation time is CORRECT? lower extremity | Upper= 1 hour Lower= 1 1/2 hours |
| All of the following are examples of equipment used postoperatively on the patient for pain reduction or stimulation of healing factors EXCEPT | Body Exhaust Suit |
| Whose instructions for cleaning, lubricating, and sterilizing powered orthopedic instrumentation must be followed | Manufacturers |
| Which component of an arthroscopy system is specific to orthopedics and differs from most laparoscopy/MIS systems? | Powered Shaving System |
| Which agency requires the documentation and tracking of implantable orthopedic devices? | FDA |
| Which type of suture would be contraindicated for attaching tendon to bone? | Polyglactin 910 (vicryl) |
| What is polymethyl methycrylate used for in orthopedic procedures? | Bone cement |
| The acromion process involved in the acromioclavicular joint is part of which of the following bones? | Scapula |
| The infraspinatus, teres minor, subscapularis, and supraspinatus muscles collectively comprise the: | Rotator Cuff |
| Which of the following joints has the greatest range of motion? | Glenohumeral |
| What is the name of a small protuberance of a bone that is an attachment point for muscles or tendons? | Tubercle |
| Which medium is frequently used in arthroscopies where the ESU may be used for hemostasis? | Lactated Ringers |
| Which piece of equipment is NOT attached to the arthroscope? | Powered Shaver |
| Which instrument is used frequently in arthroscopies to examine and manipulate internal structures? | Blunt probe |
| A Bankart avulsion lesion involves which anatomical structure(s)? | Labrum (cartilage) |
| Surgical repair for recurrent anterior shoulder dislocation include all of the following EXCEPT: | Colles |
| Patients diagnosed with shoulder impingement syndrome would likely undergo | Acromioplasty |
| What should the surgical technologist do while the surgeon is using the oscillating saw during open acromioplasty? | Drip small amounts of irrigation onto blade to prevent overheating. |
| Serious post-op complications of open acromioplasty | Axillary nerve injury or detachment of the deltoid from the acromion |
| All of the following are indications for total shoulder arthroplasty EXCEPT | Moderate impingement syndrome |
| Which instrument is used to remove marrow from the canal of long bones for placement of prostheses? | Intramedullary Reamer |
| Which bone is involved in a Colles' fracture? | Radius |
| What is a common surgical approach for Colles' fracture? | External fixation |
| Which method of reducing a fracture carries the highest potential for surgical site infection? | Open reduction, internal fixation for compound committed fracture. |
| Which of the following is NOT a bone of the pelvis? | Femur |
| What is the name of the deep, round fossa of the hip joint? | Acetabulum |
| Which portion of the femur articulates with the acetabulum? | Head |
| A common system of instrumentation for open reduction of hip fractures is DHS, which stands for: | Dynamic Hip Screw |
| Which positioning device will be used for ORIF of intertrochanteric femoral fracture? | Fracture Table |
| Patients in which age group are MOST commonly candidates for total hip arthroplasty? | Over 65 |
| Which additional PPE is frequently worn by sterile team members during total joint procedures to prevent possible SSI? | Space suit or body exhaust suits |
| Which of the following is a commonly used self-retaining retractor used in total hip arthroplasty procedures? | Charnley |
| What tissue does the acetabular reamer remove? | Cartilage |
| What should the surgical technologist have ready to clean bone or tissue from a rongeur? | Lap sponges |
| Which of the following demonstrates the correct order of steps for femoral canal preparation during total hip arthroplasty? | Reamer, Rasp, Pulse lavage, implant trial. |
| Rush, Ender, Russell-Taylor, Trigen, and Kuntscher are examples of flexible, standard, or titanium femoral: | Nails |
| Cannulated screws and nails are designed to follow the path created by a: | Guide Pin |
| In which anatomical structure is the patella contained? | Quadriceps Tendon |
| Which ligament of the knee keeps the femur from sliding posteriorly on the tibia and prevents hyperextension of the knee? | Anterior Cruciate |
| What is the purpose of the medial and lateral menisci of the knee? | Cushioning |
| Which bone of the lower extremity is commonly known as the shin bone? | Tibia |
| Patellar tendon, iliotibial band, and semitendinosus tendon are examples of: | Autografts for ACL repair |
| All of the following are examples of devices used to anchor both ends of the ACL graft EXCEPT: | Steinman Pins |
| Liston knife, Gigli saw, and Satterlee saw are examples of instruments used for which type of procedure? | Amputation |
| Amputated limbs may be placed in which of the following for transport to pathology? | Mayo Stand Cover |
| Total knee arthroplasty implant are categorized in all of the following EXCEPT: | Quadricompartmental |
| Aken, Chevron, McKeever, Keller, and McBride are techniques for which lower extremity procedure? | Bunionectomy |
| Which agency requires the documentation and tracking of implantable orthopedic devices? | FDA |
| Which tendon is the thickest and strongest in the body? | Achilles |
| Which of the following describes the appearance of a stellate bone fracture? | Asterisk (*) |
| Patellar tendon, iliotibial band, and semitendinosus tendon are examples of: | Autografts for ACL repair |
| proper saw and drill handling | Be sure that the safety switch is engaged, Be sure to pass power tools with the safety mechanism in use. |
| Implantable devices made of different alloys can cause breakdown of the device and may cause wound infection. | TRUE |
| Arthroscopic procedures require only one small incision through which all the instruments are passed. | FALSE |
| There are limited choices of total joint systems available, making standardization routine and uncomplicated | FALSE |
| Care must be taken during skin prepping for gangrenous lower extremities prior to amputation to prevent inadvertent dislodging of toes. | TRUE |
| Post-op Equipment used for pain reduction or stimulation of healing: | Continuous passive range-of-motion-machines machine (CPM) electric never stimulator (TENS)unit. |
| Acromioplasty | impingement syndrome which limits the ROM of the shoulder |
| Total Shoulder Arthroplasty | Osteoarthritis, inflammatory arthritis and proximal humerus fractures. |
| Bankart, Bristow, and Putti-platt | recurrent anterior shoulder dislocation. |
| Acromion process | provides attachments for muscles of the arm and chest. |
| Glenoid cavity | socket for the head of the humerous. |
| Glenohumeral | has the widest ROM |
| AC Joint | located at the top of the shoulder |
| infraspinatus, teres minor, subscapu-laris, and supraspinatus | Rotator Cuff |
| Largest bone of the upper extremity | Humerus |
| Capitulum | articulates with the head of the femur. |
| Trochlea | articulates with the ulna. |
| What is (CO2) used for in orthopedics. | to power saws, drills and reamers. |
| Immovible- synarthrosis- | suture lines of cranial bones |
| Slight moveable joints- amphiarthrosis- | cartilage that connects the vertebrae and the disk of cartilage called the symphysis pubis that connects the pubic bones. |
| Freely Moveable joints- Diarthrosis- | Elbow |
| Ball and socket joints- | Shoulder and hip joints |
| Condyloid Joints- | Temporomandibular |
| Gliding joints- | Carpals of the wrist joint |
| Hinge joints- | Elbow |
| Pivot joints- | End of the radius |
| Saddle joints- | trapezium of the wrist with the metacarpal of the thumb. |
| What has to be attached to the arthroscope: | VIDEO MONITOR, LIGHT SOURCE BOX, ARTHROSCOPY PUMP AND TUBING FOR FLUIDS, POWERED SHAVING SYSTEM, CAMERA SYSTEM, VIDEO RECORDING SYSTEM, AND PHOTOGRAPH SYSTEM. |
| Tendons; bone to bone; sternum: | Stainless/ surgical Steel |
| Tandon and meniscal repairs: | Fiberwire |
| Tendon to bone: | Polyester (ethibond) (proline) and Nylon (nurolon). |
| Soft tissue ligation: | Orthocord |
| Periosteum: | Polyglactin (vicryl). |
Created by:
lexypooh3190